Provider Demographics
NPI:1649166901
Name:CURTIS, KALA LYNNMARIE
Entity type:Individual
Prefix:
First Name:KALA
Middle Name:LYNNMARIE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 LINDEN AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5889
Mailing Address - Country:US
Mailing Address - Phone:540-809-4921
Mailing Address - Fax:540-809-4921
Practice Address - Street 1:1000 LINDEN AVE APT 306
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5889
Practice Address - Country:US
Practice Address - Phone:540-809-4921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical